![]() There are no dental benefits for out-of-network providers. Delta Dental’s PPO network provides the deepest discounts for services. You must choose a dentist within one of Delta Dental’s networks. You may also login and print your ID card(s) online at Provider Networkĭelta Dental has two provider networks: Delta Dental PPO and Delta Dental Premier. After enrolling, Delta Dental will mail you your ID card(s). If you enroll in both, bring both ID cards with you to your appointment. Note: ID cards for Uniform Dental are separate from the ID cards for Supplemental Dental. You do not need to enroll in Uniform Dental or Preventive Dental to enroll in a supplemental dental plan. If you want coverage for major dental services, you may enroll in a supplemental dental plan. Uniform Dental and Preventive Dental do not include coverage for major dental services, such as crowns, root canals or implants. See the Certificate of Coverage available in the Forms & Resources section below for a list of covered services and exclusions. Routine evaluations, dental cleanings, sealants, bitewing and panoramic X-rays, fluoride treatments, pulp vitality tests, fillings and periodontal maintenanceĬrowns, bridges, dentures, root canal therapy (endodontics)ĭental services covered by Uniform Dental are not subject to the health insurance deductible. Schedule of Benefits (Uniform and Preventive Dental Insurance plans) Preventive Dental: If you waive State Group Health or select the Health Opt-Out Incentive, you are eligible for Preventive Dental.īelow is the schedule of benefits for Uniform Dental and Preventive Dental.If you elect individual State Group Health Insurance with dental, you will be enrolled in individual Uniform Dental Insurance. If you elect family State Group Health Insurance with dental, you will be enrolled in family Uniform Dental Insurance. Uniform Dental: You are eligible if you enroll in State Group Health Insurance.Review the eligibility section of this page for additional information.ĭelta Dental is the plan administrator for the dental insurance plans.įor more information, review the Plan Brochure and Dental Comparison Chart located in the Forms & Resources section below. You are eligible for either Uniform Dental or Preventive Dental, based on whether you enroll in State Group Health Insurance. The Uniform and Preventive Dental plans provide coverage for diagnostic, preventive and basic services. ![]()
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